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Quantifying the impact of reducing socioeconomic inequalities in modifiable risk factors on mortality and mortality inequalities in South Korea

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  • Hwa-Kyung Lim

    (Seoul National University Medical Research Center)

  • Young-Ho Khang

    (Seoul National University Medical Research Center
    Seoul National University College of Medicine)

Abstract

Objectives We quantified the impact of reducing socioeconomic inequalities in risk factors on mortality and mortality inequalities in South Korea. Methods The mortality risk function from the 12-year mortality follow-up data of the National Health Insurance Service-National Health Screening Cohort, the prevalence of major risk factors from the Korea National Health and Nutrition Examination Survey 2013–2015, and the Health Plan 2020 (HP2020) goals for major risk factors were used to estimate the magnitude of reduction in mortality inequalities by changing the magnitude of income-based inequalities in risk factors in various scenarios under gender-specific models among participants aged 40–79 years. Results The greatest reduction in absolute and relative inequalities in mortality would occur if the low-income group achieved the HP2020 goals earlier than the high-income group. A 10–20% reduction in all-cause mortality inequalities was expected if absolute gaps between income groups in risk factors were halved. Conclusions With the practical goal halving the socioeconomic gaps in modifiable risk factors, reducing inequalities in all-cause mortality by 10–20% would be possible. Further reduction in mortality inequalities would need more aggressive policies on social determinants of health.

Suggested Citation

  • Hwa-Kyung Lim & Young-Ho Khang, 2019. "Quantifying the impact of reducing socioeconomic inequalities in modifiable risk factors on mortality and mortality inequalities in South Korea," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(4), pages 585-594, May.
  • Handle: RePEc:spr:ijphth:v:64:y:2019:i:4:d:10.1007_s00038-019-01231-2
    DOI: 10.1007/s00038-019-01231-2
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    1. Andrew McAuley & Cheryl Denny & Martin Taulbut & Rory Mitchell & Colin Fischbacher & Barbara Graham & Ian Grant & Paul O’Hagan & David McAllister & Gerry McCartney, 2016. "Informing Investment to Reduce Inequalities: A Modelling Approach," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-20, August.
    2. Shaun Scholes & Madhavi Bajekal & Paul Norman & Martin O’Flaherty & Nathaniel Hawkins & Mika Kivimäki & Simon Capewell & Rosalind Raine, 2013. "Quantifying Policy Options for Reducing Future Coronary Heart Disease Mortality in England: A Modelling Study," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-1, July.
    3. Olof Östergren & Pekka Martikainen & Olle Lundberg, 2018. "The contribution of alcohol consumption and smoking to educational inequalities in life expectancy among Swedish men and women during 1991–2008," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(1), pages 41-48, January.
    4. Khang, Young-Ho & Lynch, John W. & Yang, Seungmi & Harper, Sam & Yun, Sung-Cheol & Jung-Choi, Kyunghee & Kim, Hye Ryun, 2009. "The contribution of material, psychosocial, and behavioral factors in explaining educational and occupational mortality inequalities in a nationally representative sample of South Koreans: Relative an," Social Science & Medicine, Elsevier, vol. 68(5), pages 858-866, March.
    5. Mackenbach, Johan P. & Kunst, Anton E., 1997. "Measuring the magnitude of socio-economic inequalities in health: An overview of available measures illustrated with two examples from Europe," Social Science & Medicine, Elsevier, vol. 44(6), pages 757-771, March.
    6. repec:dau:papers:123456789/10510 is not listed on IDEAS
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